PMDD Symptoms: Recognizing Premenstrual Dysphoric Disorder

Premenstrual Dysphoric Disorder (PMDD) is a severe form of PMS occurring in the luteal phase (~2 weeks before menses). Symptoms disrupt daily life and relationships.

Emotional/Psychological

• Severe mood swings, irritability, anger
• Depression, hopelessness, worthlessness
• Anxiety, tension
• Difficulty concentrating
• Loss of interest in usual activities

Physical

• Fatigue, low energy
• Appetite changes, cravings
• Sleep disturbances (insomnia/hypersomnia)
• Bloating, breast tenderness
• Headaches, muscle/joint pain
• Acne, GI upset

Diagnosis requires symptom tracking over ≥2 cycles. Treatment: SSRIs (first-line), hormonal therapy, CBT, lifestyle changes (exercise, stress reduction, calcium/vitamin B6).